03-101076City or Federal Way
Community Development Services Plumbing Permit #:03 -101076 - 00 - PL
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: GAMBLIN
Project Address: 32544 24TH SW Parcel Number: 638670 0390
Project Description: Remove and replace electric hot water heater for existing residence.
ar Jl*-
Owner
Applicant
Contractor
Marilyn Gamblin
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
32544 24TH AVE SW
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA
KIRKLAND WA 98034
KIRKLAND WA 98034
98023-2507
(425)814-8381
Plumbing Fixtures
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way. See Application
Owner or agent:
Date: ?—% -03
Alk CONSTRUCTION PERMIT APPLICATION
CITY Or RECEIVED
PucKnON NUMBER:
CommuNfTyDEVELOPMEN
Federal Way "RAft6N NUMBER:
MAR 17 20 PLICATION NUMBER:
*The following is required information - Please print (in ink) or type*
017796
Please note.. Electrical, Fire Prew,*ntion Systems and Enqjneerin'97pbrniits may require a seParate application.
PROPERTY INFORMATION
SITE ADDRESS: 32544 24 AVE SW, FEDERAL WAY, WA 98023 ASSESSOR'S TAXIPARCEL #, 6386700390
. . . .. . ...... ... ... ..... ...... .
LEGAL DEISCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
........ . .. . .... . ......... . ..... . .............. . ... . ...... . ..... . . . ... . . . ......... I .. . ...... . .
PR03ECT INFORMATION
TYPE OF PROJECT (This appi"tion): n BUILDING XPLUMBtNQ ri MECHANICAL. I,j DEMOLITION
i
ELECTRICAL �-'; ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description)- Remove/Replace Electric Water Heater
PROJECT NAME- _.GA
.......... --- . . .......
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........................ — . ............. .................................. .............................. . ........... .. I'll ...... . ...
PROPERTY OWNER:r ay
GAMBLIN, (253)838-3885
32544 24 AVE SW FEDERAL WAY, WA 98023
.
-111 ................ I .............
APPLICAMT:
EANIN6 PIC -W:
vo....................
n ARCHITECT t:,,j TENANT u OTHER DESCRIBE): (
CONTACT PERSON FOR THIS PR03ECTt n PROPERTY OWNER n APPUCANT j?CONTRACTOR
1 0 PROJECT INFORMATION
EXISTING USE.:
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER;
SEWER SERVICE PROVIDER:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS, $339.00
iYES ca NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: r) YES rCi NO
o LAKEHAVEN r) 14IGHLINE a TACOt4A a PRIVATE (WELL)
L -j LAKEHAVEN n HIGHLINE o PRIVATE (SEPTIC)
FIRST
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) -GAS LOG(S) REFRIG, SYSTEM(S)
BBQ(S) FAN(S) - HOOD(S) WOOOSTOVE(S)
SOILER(S) FIREPLACE INSERT(S) . . .................. RANGE(S) MISC.
COMPRESSOR(S) FURIStACE(S)
DU`CT(S) GAS PIPE OUTLET(S) HEAT SOURCE. u ELECTRIC
;GAS
PLUMBING
wHTUR(s) - . LAVATORY(S) URINAL($) i WATER HEATER(S)
DISHWASHER(S) vs RAIN WATER SYSVACUUM BREAKER(S)
X ELECTRIC GAS
DRINKING, FOUNTAIN(S) SHOWER(S) WASH MACF41NE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) misc.
INTERCEPTOR(S) SUMP(S)
DISCLATIMER/SIGNATURE BLOCK
I ciertify under penalty of perjury that the information furnished by me Is true and correct to the best of my knowledge, and
further, that I am authorized by, the owner of the above premises to perform the work for which the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' tees Incurred in the
investigation and defense of such claim), which may be made by any person, Including the undersigned, and filed against the City of
Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the Information supplied to the city as a part of this application.
NAMEITITLE-
,Permit DATE: 03/13/2003
n PROPERTY OWNER J APPLICANT X CONTRACTOR
COPOiUNtTY Pt-VEL(VMENT "VICES •3353{ FIRST WAY SOUTH - PO DOX 9789 - FEMAL WA, WA '90%,3-9718 - 253-661-4000 - FAX: 253-661-41,79